West Point Optical Group · 18 hours ago
Optical Billing Specialist
Roswell, GA, 30076, US
Full-time
Onsite
Entry Level
1+ years expWest Point Optical Group is a franchisee with multiple Pearle Vision locations, supporting their billing operations through a Central Billing Office. The Optical Billing Specialist is responsible for managing client billing, resolving billing issues, and ensuring compliance with relevant regulations while maintaining a positive relationship with patients and other stakeholders.
EyewearHealth CareRetail
Responsibilities
Interacts with patients, family members, external healthcare related companies, law firms, co-workers and other MH employees to resolve billing issues or concerns
Assesses the nature of incoming calls and identifies and completes appropriate action in a prompt manner. Activities may include: Research specific transactions on a claim, Re-send patient statement, Re-bill a claim, Add or change insurance information, Verify eligibility on account, Pull an explanation of insurance benefits for payment information, Request adjustment on a claim, Send itemized statements
Reviews incoming patient correspondence
Understands all key processes in the CBO including activities related to billing, collections/follow-up, posting and customer service and how their actions impact the Revenue Cycle
Organizes work/resources to accomplish objectives and meet deadlines
Maintains compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility Program
Reports issues and trends to appropriate management personnel in CBO and works collaboratively to develop solutions
Consistently demonstrates a positive and professional attitude at work
Maintains stable performance under pressure and handles stress in ways to maintain relationships with patients, customers and co-workers
Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations
Maintains satisfactory attendance and punctuality record as set forth by Mercy Health policies
Responsible for other relevant work functions, as requested
Provides supportive assistance to patients regarding billing concerns/issues
Answers incoming calls from patients and returns calls, addressing patient’s questions or concerns in a professional and ethical manner
Qualification
Required
Excellent phone etiquette and internal/external customer service skills required
Minimum of 1 -2 years business office experience in a healthcare environment
High School diploma or GED required
Preferred
Experience with Microsoft Word and Excel preferred
Demonstrate in-depth knowledge and experience in the following technology solutions; patient accounting systems, optical imaging, scanning and internet-based insurance websites
Extensive knowledge of Medicare and Medicaid regulations and other insurance guidelines preferred
Medical terminology, knowledge of insurance and reimbursement procedures preferred
Experience in claim follow-up in a Physician practice environment preferred
Associate degree preferred
Business courses such as medical terminology, accounting, finance, cash applications, typing, and word processing
Company
West Point Optical Group
West Point Optical Group is a retail provider of eyewear, also offering various eye care services.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$0.82M2014-06-18Seed· $0.82M
Leadership Team
Dan McGowan
Chief Financial Officer
Recent News
LinkedIn
2024-05-20
Company data provided by crunchbase